IMAT Guide 2026 — How to Pass & Study Medicine in Italy · BecomeADoctor.eu

What is the IMAT?

The International Medical Admissions Test (IMAT) is a 100-minute, 60-question admissions test held every September at Italian Ministries of Education (MIUR) test centres worldwide. It is the only route to studying medicine in English at Italian state universities — including Humanitas, Padova, La Sapienza and Bologna.

Duration

100 minutes. 60 questions. All multiple choice with 5 answer options. 1.5 correct answer, −0.4 wrong, 0 not answered.

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When

Every September — typically the second week. Results published 2–3 weeks later. One chance per year.

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Where

Italian consulates, embassies and cultural centres worldwide. Also at designated Italian university campuses. Register via universitaly.it.

IMAT Format — 60 Questions

Information table
SectionQuestionsTopics CoveredTime Weight
General Knowledge & Logical Reasoning12Critical thinking, reading comprehension, problem solving~20 min
Biology18Cell biology, genetics, physiology, anatomy, ecology~35 min
Chemistry12Organic & inorganic chemistry, reactions, stoichiometry~25 min
Physics & Mathematics18Mechanics, thermodynamics, optics, algebra, calculus~20 min
Scoring: +1.5 correct · −0.4 wrong · 0 unanswered · Maximum score: 90

What Score Do You Need?

Required scores vary by university and year. As a rough guide for 2025 intakes:

Information table
UniversityCityMin. Score (approx.)Places (English)Our Partner
Humanitas UniversityMilan50–55~100✓ Yes
Università di PadovaPadua55–62~60✓ Yes
Università CattolicaRome58–65~80✓ Yes
San RaffaeleMilan62–70~40✓ Yes
La Sapienza RomeRome55–62~35Advisory
University of BolognaBologna58–64~45Advisory
⚠️ Scores vary year by year. A score of 50 may be sufficient one year and insufficient the next, depending on applicant cohort quality. We track real cutoff scores annually and advise you on realistic targets.

How to Prepare for the IMAT

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Biology (18 questions)

Focus on: cell structure and function, DNA/RNA and protein synthesis, genetics and inheritance, human physiology (cardiovascular, respiratory, digestive, nervous systems), ecology. Use A-level / IB Biology textbooks. Cambridge International AS & A Level Biology is the gold standard.

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Chemistry (12 questions)

Organic: naming, functional groups, reactions. Inorganic: periodicity, bonding, acids/bases, equilibrium. Physical: stoichiometry, thermodynamics, kinetics. Revise from A-level Chemistry or equivalent. Organic chemistry requires particular attention.

Physics & Maths (18 questions)

Physics: mechanics, thermodynamics, electrostatics, waves, optics. Maths: algebra, functions, geometry, basic calculus, statistics. Often under-prepared by biology-focused students — do not neglect. 18 questions here can be decisive.

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Logical Reasoning (12 questions)

Reading comprehension, syllogisms, pattern recognition, deductive reasoning. Cannot be revised from a textbook — practise with IMAT past papers and BMAT-style logical reasoning questions. Speed and accuracy are critical here.

IMAT 2026 Timeline

Jan
Start Biology revisionFocus on cell biology and genetics — the most heavily tested topics.
Mar
Begin ChemistryOrganic chemistry takes the most time — start early.
May
Physics & Maths revision18 questions — do not leave this until last.
Jul
Applications openuniversitaly.it opens for IMAT 2026 registration. Register immediately.
Aug
Past papers & mock examsFull timed IMAT past papers 2012–2025. Identify and fix weak areas.
Sep
IMAT Exam DayTypically second week of September. Results in ~3 weeks.
Oct
University allocationItalian government allocates places based on score and preference ranking.
🚨 Didn't pass IMAT? You are not out of options. Hungary, Czech Republic and Romania offer English medicine without IMAT — entrance exams are Biology & Chemistry only. Many students who do not pass IMAT get offers from Semmelweis, Charles or Cluj in the same year. Contact us to explore all options.

Need IMAT preparation?

We provide IMAT-specific preparation as part of our free placement service. Biology, Chemistry, Physics and Logical Reasoning — university-specific past paper analysis.

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